NPI | 1063464089 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA A89191) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A89191) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2023-04-25 |